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ED Coding and Reimbursement Alert

Reader Questions:

Sequence Your Modifiers Appropriately

Published on Mon Oct 12, 2020

Question: What are the rules governing multiple modifier sequencing? Massachusetts Subscriber Answer: The basic rule of modifier sequencing is to sequence payment, or level one, modifiers before informational, or level two, modifiers. Additionally, if you have a modifier that affects pricing, that will be sequenced before any payment eligibility modifier. Here’s what that means: Pricing modifiers affect the amount of [...]
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